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POSTED UNDER Rhinoplasty REVIEWS

Female 30s, Rhinoplasty - Was This a Good Idea?? - Glendale, CA

ORIGINAL POST

Background: I am a healthy 35 year old woman who...

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Yearsofwaiting
$9,500
Background:
I am a healthy 35 year old woman who hadn't been particularly beauty-conscious for the past 30 years. I am tall, thin and an attractive woman, so I got by on doing the bare minimum for beauty routine. Something clicked in me as I was approaching 35 to start taking more care in my appearance. I worked on the skin, the eyebrows, the hair, the makeup, but as I inspected my face, my small, insecure 13 year old voice telling me that my nose was out of place for my face started becoming louder. I did some research and found Dr. Grigoryants and decided this was the right thing to do. I called and made an appt for a consult (I called in Feb and the consult was at the end of May). I was so busy with work and life that I did't give much extra thought to it prior to the consult, thinking, "well, it's just a consult and I'll have time to mull it over afterwards."

Consult date:
My husband and I went to see Dr. G. I loved his quiet confidence and approachability. He does not put on airs. He looked at me first head on and didn't have much to say. Some imbalances in symmetry -- a good side and a bad side (I wasn't aware of it). I turned my head to show my profile and he saw that I had a strong profile with a bump and a hook as I smiled. He quickly went over what he thought. I had pictures on my phone to show him, but the conversation was so verbal and he never asked what I thought. From what we said, I thought we were on the same page, but at this point, here's where I feel I made my first mistake:
ADVICE #1: BRING A COLLAGE OF PRINTED PHOTOS to show him what you want done. I verbally expressed that I liked the length of my nose from the front and I verbally expressed that I didn't want anything too upturned in a tip. I wanted the tip slightly narrowed and I wanted the profile hump improved. He added the part about my smile bringing my tip into a curve, which I agreed needed to be fixed. He just repeated several times, "You will have good results. You should do this." At this consult he also determined that I had a deviated septum and I told him that I suffered from allergies as well, so I think a turbinate reduction might have also been included. Note: my husband brought up medical insurance and he said that we could try to get it partially covered, but first you need to be on meds for 6 weeks (to address the issues to make sure it can't be resolved through meds alone - surgery is a 'last resort') and that his practice doesn't accept HMOs only PPOs. We have an HMO, so it wasn't worth trying that route. Might be helpful to others though. Price $9500 and he said, 'we're booking into January 2016 right now, but i have a cancellation that just opened and I'd like to offer it to you.' Low and behold it was 2 weeks away, 6/15. I feel the universe called my bluff and I took it. I was in such a hurry to get the bloodwork, get the pre-op appt scheduled, and the money paid (thankfully I had the money saved up, so we were good to go there!), that I still hadn't had time to fully process (and I'm a full time employee with two young children to boot!).

Pre-op - I came up 2 weeks later, the appt was on a Saturday. I drove into LA alone (I live about 2.5 hours away). In the days leading up to the appointment, I started having a fear of dying. Like I said, I am not a vain person, but I am very spiritual. I started fearing that God would use this character weakness as a means to teach a lesson to others about vanity and that I would die on the operating room table. I also have very low blood pressure and started reading about how dangerous that can be in OR situations. I started listening to Joseph Clough's self-hypnosis app on pre-surgery jitters ($2.99 on iTunes) and it really helped. I fell asleep to it each night before the surgery. My fears of dying also dissipated after talking to Dr. G at the pre-op who said that low blood pressure is good and will help reduce the chance of bleeding out during surgery.

Day of -
My husband and MIL came up for the surgery with me at the center in Tarzana. Others have done such a nice job on retelling this, so I'll be brief.
- you'll possibly wait a long time, so bring something to ease your mind. I brought my iPhone and listened to Joseph Clough's pre-surgery app. Again, it really helped.
- Nurses were nice and helpful
- Not a lot of privacy from other patients as you're waiting in the pre-surgery area. Just a row of beds with thin curtains between. If privacy is an issue, let them know. You could totally hear what others were saying and I'm sure others could hear my conversations with the staff as well.
- They'll put an IV line in while you wait. I got a second blanket because I got cold.
- The anesthesiologist was good, but had a unique personality with jokes that just didn't vibe right before this whole thing. Dr. G. told me he thought very highly of the anesthesiologist, so I kept telling myself that. I have experienced nausea after general anesthesia and I let him know. He said he'd make me an anti-nausea cocktail, which I think was true, because I felt no nausea.
I walked into the OR myself and they started the IV line with the anesthesia, but also gave me a few puffs of gas. I was shivering like a wet cat and there was a heater under my blanket to warm me up. I conked out and that was all.

Waking Up: my husband was with me and they were trying to rouse me from surgery. I didn't really want to wake up. It had been a good nap :) They gave me some juice and wheeled me out to the car. We drove 2.5-3 hours home. I slept most of the way. I should have been icing my face, but i was so tired!
ADVICE #2: ICE YOUR FACE NON-STOP the first 48 hours (and by non-stop I mean take breaks as advised, but get back on it!)
Day 2-3: I thought I looked bad when I got home, but I looked horrible on Days 2-3. My eyes started swelling shut. This whole time I was worried about bruising and it was swelling that I should have worried about. My mom had a rhinoplasty in the early 90s when I was a young girl and I remember seeing her afterwards and being traumatized by her bruises....but no, swelling's the [RS bleep]. I started taking arnica and bromeliad after the surgery as well as the topical arnica. But then realized that I had never taken it before and thought that maybe the swelling was partially an allergic reaction so I stopped both of those...My advice:
#3: TAKE ARNICA AND BROMELIAD BEFORE SURGERY if for no other reason to make sure you don't react to it negatively.
My mom helped me off and on for these days. Kids were gone the whole week with grandparents. My older daughter is sensitive to body image issues and I really didn't want her knowing what was happening. Plus they both would have been traumatized seeing mommy in this state.

Days 4-5:
Swelling dropped to my 'jowls'. I say that loosely because I've never had jowls. I have a very thin face and this puffed me up like crazy. I was scared to look at the nose under the drip pad, but after day 4 I looked at it and boy was it piggish! Then I no longer feared dying but feared looking like a pig for the rest of my life.
Day 5 - Got the cast off. Drove up on Saturday with my husband. I thought that when he took it off, my nose would all be cleaned out and I could get some air through. No such luck. One nostril is still completely blocked and the other has a tiny hole of air passing through, but I'm still breathing through the mouth. My ear pressure and back of the throat pressure are gone, though. I genuinely believe that having allergies has impacted me negatively with swelling. He said no claritin leading up to the surgery, but I wonder if I should have started taking it the next day. I mean, if my body was still producing all those fluids, they'd have to go somewhere -- and somewhere they did!

I didn't cry when he took off the cast and I'm trying to have faith, but I look RIDICULOUS. My nose is very short and upturned, lips are swollen so the space between them looks long (seriously imagine manually holding your nose tip up. that's what I look like!) my cheeks/jowls are huge and the space between my eyes and my inner eye are completely swollen, so I look like an actual pig. Real human pig. Again, I had a long, thin face before. I am long and thin everywhere and now I have these horribly round, swollen features.
Not advice, but an FYI:
I thought bruises were my biggest concern and I was not mentally prepared to be swollen into a different person. Bruises are NBD - easily covered with makeup. This swelling cannot be covered with makeup.

Day 6 (today):
I woke up still swollen everywhere - no better than yesterday. I'm doing everything I can - sleeping upright, taking antihistamines, using arnica/bromelain, cleaning out my nose like crazy, eating well, drinking water. I emailed the doctor about using a neti pot as I am convinced that if I can get the allergies cleaned out then this might subside. At this point, I 100% regret this decision. I had no issue with the way I looked head on. I hated my profile. I now hate everything about the way my face looks. I understand this is a process, so I will update and will not make my final judgment quite yet, but no, this is not good. :(

Yearsofwaiting's provider

Vladimir Grigoryants, MD

Vladimir Grigoryants, MD

Board Certified Plastic Surgeon

Replies (18)

June 21, 2015
Hey! Just saw your review. Just want to say that I felt the same way on day 6. I was crying constantly. It is just a part of the process. You will look A LOT better in 2 weeks. Just give it time :) I am 4/5 months post op and I feel a lot better. Hold on!!
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June 21, 2015
Thank you. I am trying so hard to fight back the tears because I know they make the swelling worse, but sometimes it's so hard I can't fight it. Are you happy with your outcome now?
June 21, 2015
I have a very similar background story. I am still in shock that I did it. Your nose will look lovely though. Swelling makes everything look crazy. And there are many, many unexpected and powerful emotions associated with this procedure. I really was unprepared for that. I thought I was just going to get my nose straightened!
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June 21, 2015
Thank you. Are you happy with your results now? My primary concern is that it's too short looking at it head on. I'm wondering if the droopy tip worked for me?
June 22, 2015
Unfortunately I am not happy with my results. I have some sort of narrowing/collapse on the side of my nose. I was so depressed. Right now I am just trying to distract myself until I can get it fixed. You will not have that issue though. You went to a very reputable surgeon. Just get out and start enjoying your life, you will start to feel like yourself again. Your nose is just a part of you, not all of you. I think us bigger nosed gals have had such a relationship with our nose that it is hard to experience such a big change. I felt so disappointed in myself for 'giving up' on my nose. I got over that once I realized that it was not healing well, now I have to think about revision instead. Boo.
June 21, 2015
I'm just going to add in another perspective that hopefully makes you feel better. Your frontal before was not good, your tip drooped and as you aged it would get even droopier! A higher angle makes you look so much more elegant and I am sure your new nose will look beautiful. Don't worry! I would trust Dr. G. They have a vision to see what the nose will look like that a lot of us can't envision ourselves.
June 21, 2015
You already look so much more improved :) even swollen, I can see how nice it will be in comparison.
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June 21, 2015
I'm hoping so! I did like the vertical length of my nose because all of my features are long, but we did talk about improving the droopy tip. I didn't think I'd lose the length of the bridge quite so much. The gap between my upper lip and nose is so wide right now that I'm wondering if he cut too much length off :(. I'm trying to remain hopeful, but I am super depressed. Thank you for your words. Hopefully I'll be posting more positively in the upcoming weeks.
June 22, 2015
you are only a very short time into the healing process. every patient goes through this major swelling and bruising. not to mention, it can take a year to see the full results. so with that in mind, dont dwell on it too much!! look at other peoples progress photos and you wont feel bad about it because its going to get alot better!!! also im thinking your tip will fall with time, so thats why he probably made it upturned now so that by the time it does fall it will look normal and wont be drooping. keep us updated :)
June 22, 2015
I think You are going to be just fine :). I had a Rhinoplasty in 1999 by DR Michael Jason in TPA FL. He drew it out on a computer, but that is not how it turned out I also had other things done too at the same time that he talked me into, upper lower bleph, YAG Laser, cheek implants and submentoplasty.............ALL AT ONE IN THE BACK ROOM WITH IV SEDATION. I was a mess, swollen bruised skin weeping. I h no cast on my nose only a splint, the cheek implants had to come out as they MOVED and one was up and the other down. He narrowed the bridge on my nose and over rotated the tip. AS you can see I live with this today. It changed my looks forever, took 2 years to look human again, I never needed any of that, I went in for BOTOX!! and he said for 10 K cash he could do all this and what he drew out on the computer looked great. I felt pressure, could hear them talking, but could not communicate with them. Shortly after my experience, BACK ROOM PROCEDURES were banned in FL. After 2 years I went to DR H in Tampa and he said I need a specialist to fix my nose and sent e on to DALLAS TX to see DR Jack GUNTER. Dr Gunter is a GREAT surgeon but his charge was 20 K to fix my nose which I could not afford. He did say that DR M Jason in TPA "Really messed it up" I have had to live with it all these years because I just got busy with life. I hope to someday get it fixed and I really want my old nose back. I have learned that the two surgeries that change your face and looks the most is a brow lift and a nose job. The two most regretted surgeries of my life.!!!!
I think YOU are going to be just fine though. Good Luck to you. :)
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June 22, 2015
Oh my goodness! Yes, right now I'm thinking I should have been grateful with the face God gave me! I wore my big nose very well :(. I am praying this turns around for me because I can't see myself dwelling on this for the next 30 years. I am holding on to the idea that I chose a highly respected, sought after surgeon and I'm hoping that he had a vision that I just can't see right now! I hope you are able to remedy your situation with a revision. I though before this that $10k was a lot of $ and I wanted to make sure I chose the best so I epuldnt have to do a revision. At this point, I don't care if a revision costs another 20k, I will get this fixed if it doesn't improve :(
June 24, 2015
Agreed if You do not like it, then redo it It is all about how YOU feel, I never got the 20 K and a REDO always cost MORE. I got busy with life, divorce, bills etc.... I am making some head way. Keep us posted. :)
UPDATED FROM Yearsofwaiting
6 days post

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Yearsofwaiting

Replies (6)

June 21, 2015
It's just a hard period and I also think that you did not have enough time to prepare for the change mentally. Most people think about the procedure for years before actually doing it.. Just give it time , from the pictures everything looks good ( swelling is so normal ;) ) and it will look just great after few weeks! I never heard of any unhappy patients of Dr G :). Hang on in there , everything is going to be all right!:)
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June 21, 2015
I had passively mulled it over in my early 20s for some time, but the cost always was a factor. By the time I got to my early 30s, I was confident with how I presented. Then I think now that I'm older and can afford it, the reminders of past insecurities became a reality. But I think you're right. It happened too fast and with the excess swelling I'm just not emotionally prepared for this.
June 21, 2015
To be perfectly honest I think your new nose looks great even with the swelling. I think you look younger too. I don't think your nose looks too high at all.
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June 21, 2015
I think it looks great already. Swelling does strange things. It will just continue to get better so try not to worry (easier said than done i know!) Xx
June 21, 2015
Glendale, CA
June 21, 2015
Oops sorry about that response. I was using my phone to search. Again I wish Realself would allow you to edit/delete your own posts
UPDATED FROM Yearsofwaiting
6 days post

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Yearsofwaiting

Replies (8)

June 21, 2015
I think it looks good, but like everyone said, swelling will go down, nose will refine, so it will take time to see final result. Please keep us posted!
June 21, 2015
Hi. Would you please continue to update (like in the coming months). My nose was so similar to yours and I got a rhinoplasty and the results were not good. I'm considering dr.g for a revision and would love to see how yours turns out.
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June 21, 2015
Yes, I will! I am so hopeful that this will turn around for me, but I'm terrified right now.
June 21, 2015
I love your nose! :)
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June 21, 2015
It's too early to tell! Although I haven't had rhinoplasty yet, all the other reviews have the same story for the first week or two. You will experience some bad swelling and bruising but your body is just trying to heal for your new nose to take shape. Be patient :)
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June 21, 2015
I have noticed that Dr. G's noses specifically turn out looking upturned immediately post op. I think it's because he does closed rhinos and he has to pull the nose up pretty high to reach the insides of the nose. Imagine holding your nose up all the way for 2 hours!
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June 21, 2015
Hopefully it will be a little settling for you to know that I'm now 4 days post-op with Dr. Grigoryants, and you're completely describing what I'm experiencing to the T! The bruising, albeit pretty bad, is NOTHING compared to this awful swelling which makes me look altogether non-human!, I can barely breath through the tiniest hole in my left nostril, my nose looks totally piggish, and my cupid's bow appears WAY too long. Dr. G did warn me that everyone looks like Miss Piggy at first (his exact words). Like you, I was not completely dissatisfied with my overall appearance, but I wanted an improvement to some small details. I think we have to be patient and remember that we chose Dr. G because of his undeniable skill and expertise, and practice some patience right now. Message me if you want. XOXO